For people who depend on any type of private or company insurance to
cover the cost of their health needs, the question of whether or not the
health insurance policy covers mental health problems is a crucial one
for a number of reasons.
The idea of a split between physical
health and mental health is an old one, and is a fairly arbitrary
decision as to which is which some of the time. From a point of view of
health insurance, classifying illnesses or diseases can determine
whether or not the insurance company will pay for them, and for many
people with mental health issues that can literally be a life or death
process.
The term mental health can relate to a condition ranging
from a fairly mild form of depression through to serious conditions of
clinical depression, schizophrenia, alcoholism, full-blown psychotic
episodes etc.
Any health insurance policy should specify exactly
what types of illness or disease it is willing to provide cover for and
those which it is not. This will also include what it specifies as a
type of mental health problem or issue and whether or not the insurance
policy provides any type of cover for it.
One of the reasons
people are wary of health insurance plans with relation to mental health
issues, is that often any type of treatment for a mental health issue
relates either to what is known as a talking therapy, or some type of
pharmaceutical drug based regime.
Any type of talking therapy that
is likely to be effective is likely to be a relatively long-term
process, depending upon the nature and seriousness of the illness. Any
insurance policy that does cover specified mental health conditions will
also provide very strict criteria as to what type of talking therapy is
covered, for how long and by whom the talking therapy can be carried
out by.
The other issue to be really aware of when looking at any
type of mental health coverage under a health insurance plan is the
nature of deductibles, co-pay and co-insurance. These terms are
essentially ways of getting the person who is insured under the policy
to bear some of the cost of the treatment on an ongoing basis in
relation to the insurance company.
Most people are familiar with
the idea of a deductible, sometimes called an excess, in a policy, but
any health insurance policy needs to be looked at carefully in terms of
what it's deductibles are. This is because there are often several
different deductibles applicable to the same policy, each for differing
amounts and applying to different sections of the policy.
This
means that a health insurance policy could have both an individual and a
family deductible. This deductible could be separate from another
deductible that would apply to specific types of drugs, normally where a
distinction is made between a generic and a brand-name drug. The
amounts involved in terms of these deductibles can be significant, and
when taken in addition to any co-pay or co-insurance amounts can stack
up into a sizeable burden that the individual will have to carry for
themselves.
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